Douglas L. Edgar, P.A.
Physician Assistant in Paradise, CA. Individual provider (NPI-1).
NPI number1023059623
StatusActive
Last updated in NPPESJul 2, 2020
Details
- NPI
- 1023059623
- Entity type
- Individual (NPI-1)
- Name
- Douglas L. Edgar
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2006
- Certification date
- Jul 2, 2020
- Last updated
- Jul 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | pa16799 | – | Yes |
Practice location
5125 SkywayParadise, CA 95969-5624
Phone 530-872-2000
Mailing address
5125 SkywayParadise, CA 95969-5624
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